Poziom wiedzy i nawyki personelu jako czynniki wpływające na poprawność realizacji higieny rąk w obszarze medycznym

2020 ◽  
Vol 11 (6) ◽  
pp. 301-306
Author(s):  
Małgorzata Cichońska ◽  
Dorota Maciąg
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Medical Personnel ◽  
Healthcare Services ◽  
Routine Care ◽  
Healthcare Personnel ◽  
Hygiene Practices ◽  
Compliance Coefficient ◽  
Correct Technique ◽  
Healthcare Associated

Hand hygiene continues to be the most important part of the strategy to combat healthcare associated infections and the first step in reducing them. Hand hygiene procedures are fully performed by less than half of healthcare workers and research confirms a low compliance coefficient for hygiene (at the level of 1.4–6). The list of factors influencing the adherence to hand hygiene routine protocols (as per WHO guidelines) includes factors related to poor hand hygiene practices, poor hand hygiene practices reported by staff and additional perceived obstacles to good hand hygiene. The following are the barriers and reasons why healthcare workers do not sufficiently adhere to the correct technique of washing and disinfecting hands: forgetting to perform this procedure, excessive workload, haste during routine care activities, lack of a pattern of behavior among other employees and superiors, lack of habits, as well as a shortage of disinfectants and disposable towels in patient rooms, or irritation of the skin of the hands caused by the disinfectant. To sum up, it can be concluded that hand hygiene is and will be an issue that requires continuous action and permanent education of healthcare personnel and recipients of healthcare services. The list of factors causing poor hand hygiene is quite long. It includes, among others, the level of knowledge and habits of medical personnel and requires constant updating, as in the place of confirmed and verified reasons for low rates, newer ones which are specific for the current situation, will appear.

Hand Hygiene Practices After Brief Encounters With Patients: An Important Opportunity for Prevention

2007 ◽  
Vol 28 (3) ◽  
pp. 341-345 ◽  
Author(s):  
Rebecca E. Dedrick ◽  
Ronda L. Sinkowitz-Cochran ◽  
Candace Cunningham ◽  
Robert R. Muder ◽  
Peter Perreiah ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Median Duration ◽  
Healthcare Workers ◽  
Veterans Affairs ◽  
Patient Contact ◽  
Contact Precautions ◽  
Hygiene Practices ◽  
Direct Patient Contact ◽  
Environmental Surfaces ◽  
Healthcare Associated

Objective.To identify characteristics of encounters between healthcare workers (HCWs) and patients that correlated with hand hygiene adherence among HCWs.Design.Observational study.Setting.Intensive care unit in a Veterans Affairs hospital.Participants.HCWs.Results.There were 767 patient encounters observed (48.6% involved nurses, 20.6% involved physicians, and 30.8% involved other HCWs); 39.8% of encounters involved patients placed under contact precautions. HCW contact with either the patient or surfaces in the patient's environment occurred during all encounters; direct patient contact occurred during 439 encounters (57.4%), and contact with environmental surfaces occurred during 710 encounters (92.6%). The median duration of encounters was 2 minutes (range, <1 to 51 minutes); 33.6% of encounters lasted 1 minute or less, with no significant occupation-associated differences in the median duration of encounters. Adherence with hand hygiene practices was correlated with the duration of the encounter, with overall adherences of 30.0% after encounters of ≤1 minute, 43.4% after encounters of >1 to ≤2 minutes, 51.1% after encounters of >3 to ≤5 minutes, and 64.9% after encounters of >5 minutes (P < .001 by the x2 for trend). In multivariate analyses, longer encounter duration, contact precautions status, patient contact, and nursing occupation were independently associated with adherence to hand hygiene recommendations.Conclusions.In this study, adherence to hand hygiene practices was lowest after brief patient encounters (ie, <2 minutes). Brief encounters accounted for a substantial proportion of all observed encounters, and opportunities for hand contamination occurred during all brief encounters. Therefore, improving adherence after brief encounters may have an important overall impact on the transmission of healthcare-associated pathogens and may deserve special emphasis in the design of programs to promote adherence to hand hygiene practices.

scholarly journals Pathways to clean hands: highlights of successful hand hygiene implementation strategies in Europe

2010 ◽  
Vol 15 (18) ◽  
Author(s):  
A P Magiorakos ◽  
E Leens ◽  
V Drouvot ◽  
L May-Michelangeli ◽  
C Reichardt ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Implementation Strategies ◽  
World Health ◽  
Surveillance Systems ◽  
The European Union ◽  
Hygiene Practices ◽  
Governmental Support ◽  
Hygiene Compliance ◽  
Health Organization ◽  
Healthcare Associated

Hand hygiene is the most effective way to stop the spread of microorganisms and to prevent healthcare-associated infections (HAI). The World Health Organization launched the First Global Patient Safety Challenge - Clean Care is Safer Care - in 2005 with the goal to prevent HAI globally. This year, on 5 May, the WHO’s initiative SAVE LIVES: Clean Your Hands, which focuses on increasing awareness of and improving compliance with hand hygiene practices, celebrated its second global day. In this article, four Member States of the European Union describe strategies that were implemented as part of their national hand hygiene campaigns and were found to be noteworthy. The strategies were: governmental support, the use of indicators for hand hygiene benchmarking, developing national surveillance systems for auditing alcohol-based hand rub consumption, ensuring seamless coordination of processes between health regions in countries with regionalised healthcare systems, implementing the WHO's My Five Moments for Hand Hygiene, and auditing of hand hygiene compliance.

scholarly journals Patients' Hand Hygiene at Home Predicts Their Hand Hygiene Practices in the Hospital

2014 ◽  
Vol 35 (5) ◽  
pp. 585-588 ◽  
Author(s):  
Anna Barker ◽  
Ajay Sethi ◽  
Emily Shulkin ◽  
Rachell Caniza ◽  
Sara Zerbel ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Intrinsic Value ◽  
Healthcare Associated Infections ◽  
Hospital Hygiene ◽  
Factors Associated ◽  
Hygiene Practices ◽  
Hospital Patients ◽  
Hospital Practices ◽  
Healthcare Associated ◽  
At Home

We examine factors associated with hand hygiene practices of hospital patients. Hygiene in the hospital decreased compared to that at home, and home practices were strongly associated with hospital practices. Understanding and leveraging the intrinsic value some patients associate with hand hygiene may be important for improving overall hospital hygiene and decreasing healthcare-associated infections.

scholarly journals Hand hygiene compliance among rural healthcare workers of Nepal

2018 ◽  
Vol 5 (1) ◽  
pp. 90-95
Author(s):  
Ajay Kumar Rajbhandari ◽  
Reshu Agrawal Sagtani ◽  
Kedar Prasad Baral
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Compliance Rate ◽  
Hand Washing ◽  
World Health ◽  
Cross Sectional ◽  
Hygiene Compliance ◽  
Health Organization ◽  
Healthcare Associated

Introductions: Transmission of healthcare associated infections through contaminated hands of healthcare workers are common. This study was designed to explore the existing compliance of hand hygiene among the healthcare workers workings in different level of health care centers of Makwanpur district of Nepal. Methods: This was a cross sectional observational study conducted in Makwanpur district, Nepal, during 2015. Healthcare workers from nine healthcare centers were selected randomly for the study. Standard observation checklists and World Health Organization guidelines on hand hygiene were used to assess the compliance of hand hygiene during patient care. Results: There were 74 participants. Overall compliance for hand washing was 24.25% (range 19.63 to 45.56). Complete steps of hand washing were performed by 38.3% of health care workers. The factors associated for noncompliance were lack of time (29.3%), example set by seniors (20%), absence or inadequate institution protocol (20%) and unfavourable health care setting (> 20%). Conclusions: Overall hand washing compliance rate amongst the healthcare workers in rural health facilities of Nepal were low (24.25%).

Patients' Beliefs and Perceptions of Their Participation to Increase Healthcare Worker Compliance with Hand Hygiene

2009 ◽  
Vol 30 (9) ◽  
pp. 830-839 ◽  
Author(s):  
Yves Longtin ◽  
Hugo Sax ◽  
Benedetta Allegranzi ◽  
Stéphane Hugonnet ◽  
Didier Pittet
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Patient Participation ◽  
Healthcare Workers ◽  
Patient Empowerment ◽  
Healthcare Associated Infections ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Active Involvement ◽  
Healthcare Associated

Background.Research suggests that patients could improve healthcare workers' compliance with hand hygiene recommendations by reminding them to cleanse their hands.Objective.To assess patients' perceptions of a patient-participation program to improve healthcare workers' compliance with hand hygiene.Design.Cross-sectional survey of patient knowledge and perceptions of healthcare-associated infections, hand hygiene, and patient participation, defined as the active involvement of patients in various aspects of their health care.Setting.Large Swiss teaching hospital.Results.Of 194 patients who participated, most responded that they would not feel comfortable asking a nurse (148 respondents [76%]) or a physician (150 [77%]) to perform hand hygiene, and 57 (29%) believed that this would help prevent healthcare-associated infections. In contrast, an explicit invitation from a healthcare worker to ask about hand hygiene doubled the intention to ask a nurse (from 34% to 83% of respondents; P < .001) and to ask a physician (from 30% to 78%; P < .001). In multivariate analysis, being nonreligious, having an expansive personality, being concerned about healthcare-associated infections, and believing that patient participation would prevent healthcare-associated infections were associated with the intention to ask a nurse or a physician to perform hand hygiene (P < .05). Being of Jewish, Eastern Orthodox, or Buddhist faith was associated also with increased intention to ask a nurse (P < .05), compared with being of Christian faith.Conclusions.This study identifies several sociodemographic characteristics associated with the intention to ask nurses and physicians about hand hygiene and underscores the importance of a direct invitation from healthcare workers to increase patient participation and foster patient empowerment. These findings could guide the development of future hand hygiene-promotion strategies.

scholarly journals COVID-19 Pandemisinde Enfeksiyon Kontrol Çalışmaları Çerçevesinde Çocuk Hastalarla Çalışan Sağlık Personeli Eğitimi

2020 ◽  
Vol 54 (4) ◽  
pp. 195-200
Author(s):  
Pembe Derin Oygar ◽  
Ayşe Büyükçam ◽  
Zümrüt Şahbudak Bal ◽  
Nazan Dalgıç ◽  
Şefika Elmas Bozdemir ◽  
...  
Keyword(s):  
Great Risk ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Pediatric Patients ◽  
Healthcare Services ◽  
Healthcare Personnel ◽  
Protective Equipment ◽  
Emerging Pathogens ◽  
Early Stages ◽  
Applied Education

Objective: In the early stages of any epidemic caused by new emerging pathogens healthcare personnel is subject to a great risk. Pandemic caused by SARS-CoV-2, proved to be no exception. Many healthcare workers died in the early stages of pandemic due to inadequate precautions and insufficient protection. It is essential to protect and maintain the safety of healthcare personnel for the confinement of pandemic as well as continuity of qualified healthcare services which is already under strain. Educating healthcare personnel on appropiate use of personal protective equipment (PPE) is as essential as procuring them. Material and Methods: A survey is conducted on 4927 healthcare personnel working solely with pediatric patients from 32 different centers. Education given on PPE usage were questioned and analyzed depending on age, sex, occupation and region. Results: Among four thousand nine hundred twelve healthcare personnel from 32 different centers 91% (n= 4457) received education on PPE usage. Of those who received education only 36% was given both theoretical and applied education. Although there was no differences among different occupation groups, receiving education depended on regions. Conclusion: It is essential to educate healthcare personnel appropiately nationwidely for the continuity of qualified healthcare services during the pandemic.

scholarly journals Food Safety in Sub-urban Market: Knowledge, Attitude and Practice of Hand Hygiene in Wadata Market, Makurdi, Benue State, Nigeria

2019 ◽  
Vol 2 (3) ◽  
pp. 172-179
Author(s):  
OG Ogbeyi ◽  
TO Afolaranmi ◽  
PO Amede ◽  
O Audu ◽  
BT Koko
Keyword(s):  
Hand Hygiene ◽  
Positive Attitude ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Food Hygiene ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Urban Market ◽  
Males And Females ◽  
Healthcare Associated

A large number of males and females are engaged in the provision of food in Wadata market. Hand hygiene is the cornerstone of infection prevention (IP). When optimally performed, hand hygiene reduces healthcare-associated infections (HAI), spread and antimicrobial resistance (AMR). Poor compliance with hand hygiene practices remains a challenge for IP practitioners all over the world. More than 250 foodborne diseases are caused by bacteria or parasites. This study was conducted using a descriptive cross-sectional study of 138 respondents in Wadata market. Peer-reviewed and pilot tested questionnaires were employed. The questionnaires were classified into four sections namely-socio - demographic characteristics, knowledge on hand hygiene, attitude towards food hygiene and hygiene practices. Data analysis was done using Epi info a software package for statistical analysis version 23. Majority (40.6%) of the respondents were between the ages of 21-30 years. There were more females (80.6%) food vendors than males. Over 65% of the respondents had education above secondary school; and most of them obtained information on hand hygiene from mass media. Over 62% could define hand hygiene correctly while more than 90% had positive attitude towards hand hygiene. The practice level of the respondents of hand hygiene in this study was poor 42.7%. There was significant association between educational status and knowledge of hand hygiene (p<0.05). Overall knowledge of hand hygiene of the respondents was good and they had positive attitude towards hand hygiene but this did not strictly translate to good practices of hand hygiene.

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